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UNIFIED PROGRAM INSPECTION CHECKLISTS ;�60
SECTION 1: Hazardous Materials Business Plan
Inspection
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME /� INSPECTION DATE INSPECTION TIME
TGtS�e �r % 50 -
ADDRESS -%
. /O � � S � � � / PHONE NO. NO OF EMPLOYEES
7
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FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name/Title
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C V C=Compliance OPERATION _
V=Violation; I, I I Minor
CERS
Violation
COMMENT
APPROPRIATE PERMIT ON HAND _ (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED UPDATED ANNUALLY (CCR: 2729.1)
.-3210043
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
XVERIFICATION
OF INVENTORY MATERIALS (CCR: 2729.3)
1010004'
XVERIFICATION
OF QUANTITIES (CCR: 2729.4)
A1010006 S
VERIFICATION OF LOCATION (CCR: 2729.2)
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PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
0 d Y vw�� (A &
S C
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002,
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VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
QC FAQ, Y5
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EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
C Lj a A A., L4 -S ec OAO*.0 "
'
FIRE PROTECTION (CFC: 903 & 906)
3030032co
0
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
SignatureofRecei t
Explain:
Inspector: VU-tokne- &
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
White Business Copy Yellow — Station Copy Pink — Prevention Services
Signature (that all violations have been corrected as noted)
Date
FD2155 (Rev 9/2017)
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